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DC PEDIATRIC SMILES LLC
NPI 1124798095
Dentist - Pediatric Dentistry in Bethesda, MD

Active since September 14, 2021
5640 SHIELDS DR, BETHESDA, MD 20817(301) 363-9026(301) 363-9669 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dc Pediatric Smiles Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DC PEDIATRIC SMILES LLC (NPI 1124798095) is a healthcare organization registered as a pediatric dentistry in Bethesda, Maryland and active in the NPI registry since September 2021. The organization lists Derek Blank, President, as its authorized official.

NPPES Registry Identity

NPI1124798095
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDC PEDIATRIC SMILES LLC
Location Address5640 SHIELDS DRBethesda, MD 20817-3573
Mailing Address5640 Shields DrBethesda, MD 20817-3573 · (301) 363-9026
Phone(301) 363-9026
Fax(301) 363-9669
Organization SubpartNo
Authorized OfficialDerek BlankPresident · (301) 363-9026
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1124798095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5640 SHIELDS DR, Bethesda, MD 20817
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONTAGUE BLUNDON, III, MD, PA
Orthopaedic Surgery
5640 SHIELDS DR, WYNGATE MEDICAL PARK
BETHESDA, MD 20817
Montgomery County (307) 897-5505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dc Pediatric Smiles LLC's NPI number?

The NPI number for Dc Pediatric Smiles LLC is 1124798095. It was assigned to this organization in the NPPES registry on September 14, 2021.

Where is Dc Pediatric Smiles LLC located?

Dc Pediatric Smiles LLC is located at 5640 Shields Dr, Bethesda, MD 20817. The listed phone number is (301) 363-9026.

What is Dc Pediatric Smiles LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Dc Pediatric Smiles LLC was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.